Burck, Conner J
Burck, Conner J is an sole proprietor health care provider with primary practice located at 500 W Broadway St Ste 320 , Missoula MT 59802-4003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Burck, Conner J can be contacted via phone (406) 329-5615.Contact Information
Primary practice address
500 W Broadway St Ste 320
Missoula MT 59802-4003
Phone: (406) 329-5615
Fax: (406) 329-5606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA61100789 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MED-PAC-LIC-115542 | Montana |
Profile Details
| NPI number | 1134745664 |
|---|---|
| LBN Legal business name | Burck, Conner J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2020 |
| Last updated | Feb 21st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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